“She makes me feel that I'm not alone”: Linkage to Care Specialists provide social support to people living with HIV.

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  • Additional Information
    • Affiliation:
      Department of Psychiatry & Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI, USA
      Wisconsin Department of Health Services, AIDS/HIV Program, Madison,WI, USA
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Wisconsin's Linkage to Care intervention incorporates elements of individually tailored patient navigation and case management designed to increase linkage and retention in HIV-related medical care. It is delivered by Linkage to Care Specialists in HIV medical clinics and community-based agencies. Researchers interviewed a diverse sample of clients to conduct preliminary evaluation of the pilot phase of this intervention. The participants' relationships with their Specialists emerged as a major unifying theme of the data. Comfortable and close relationships with Specialists served as motivation to adhere to medical care, mitigated negative feelings associated with HIV-related stigma, and resulted in increased comfort with medical care and positive health outcomes including engagement in care and undetectable viral load. As a result of the Specialists' support, many participants were reluctant to transition out of the Linkage to Care program. The positive effects demonstrated by Specialists are balanced against the costs of small caseloads that are potentially not feasible within traditional case management models. Future interventions to increase medical care engagement, among HIV+ individuals at risk of lack of engagement, should develop strategies to “personalize” the patient experiences within health care and psychosocial services delivery systems, as well as screening tools to triage clients into different levels of personal service provision intensity based on need and desire.
    • Journal Subset:
      Biomedical; Europe; Peer Reviewed; UK & Ireland
    • Special Interest:
      Case Management; Public Health
    • ISSN:
      0954-0121
    • MEDLINE Info:
      NLM UID: 8915313
    • Grant Information:
      Systems Linkages and Access to Care for Populations at High Risk of HIV Infection InitiativeSpecial Project of National Significance, HIV/AIDS Programs, Health Resources and Services Administration [grant number H97HA22698]. Preparation of this publication was supportedby the National Institute of Mental Health [grant number P30MH052776].
    • Publication Date:
      20151016
    • Publication Date:
      20191101
    • Accession Number:
      http://dx.doi.org/10.1080/09540121.2015.1028882
    • Accession Number:
      110203094
  • Citations
    • ABNT:
      BROADDUS, M. R. et al. “She makes me feel that I’m not alone”: Linkage to Care Specialists provide social support to people living with HIV. AIDS Care, [s. l.], v. 27, n. 9, p. 1104–1107, 2015. DOI 10.1080/09540121.2015.1028882. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=110203094&custid=s6224580. Acesso em: 12 dez. 2019.
    • AMA:
      Broaddus MR, Hanna CR, Schumann C, Meier A. “She makes me feel that I’m not alone”: Linkage to Care Specialists provide social support to people living with HIV. AIDS Care. 2015;27(9):1104-1107. doi:10.1080/09540121.2015.1028882.
    • APA:
      Broaddus, M. R., Hanna, C. R., Schumann, C., & Meier, A. (2015). “She makes me feel that I’m not alone”: Linkage to Care Specialists provide social support to people living with HIV. AIDS Care, 27(9), 1104–1107. https://doi.org/10.1080/09540121.2015.1028882
    • Chicago/Turabian: Author-Date:
      Broaddus, Michelle R., Christina R. Hanna, Casey Schumann, and Alison Meier. 2015. “‘She Makes Me Feel That I’m Not Alone’: Linkage to Care Specialists Provide Social Support to People Living with HIV.” AIDS Care 27 (9): 1104–7. doi:10.1080/09540121.2015.1028882.
    • Harvard:
      Broaddus, M. R. et al. (2015) ‘“She makes me feel that I’m not alone”: Linkage to Care Specialists provide social support to people living with HIV’, AIDS Care, 27(9), pp. 1104–1107. doi: 10.1080/09540121.2015.1028882.
    • Harvard: Australian:
      Broaddus, MR, Hanna, CR, Schumann, C & Meier, A 2015, ‘“She makes me feel that I’m not alone”: Linkage to Care Specialists provide social support to people living with HIV’, AIDS Care, vol. 27, no. 9, pp. 1104–1107, viewed 12 December 2019, .
    • MLA:
      Broaddus, Michelle R., et al. “‘She Makes Me Feel That I’m Not Alone’: Linkage to Care Specialists Provide Social Support to People Living with HIV.” AIDS Care, vol. 27, no. 9, Sept. 2015, pp. 1104–1107. EBSCOhost, doi:10.1080/09540121.2015.1028882.
    • Chicago/Turabian: Humanities:
      Broaddus, Michelle R., Christina R. Hanna, Casey Schumann, and Alison Meier. “‘She Makes Me Feel That I’m Not Alone’: Linkage to Care Specialists Provide Social Support to People Living with HIV.” AIDS Care 27, no. 9 (September 2015): 1104–7. doi:10.1080/09540121.2015.1028882.
    • Vancouver/ICMJE:
      Broaddus MR, Hanna CR, Schumann C, Meier A. “She makes me feel that I’m not alone”: Linkage to Care Specialists provide social support to people living with HIV. AIDS Care [Internet]. 2015 Sep [cited 2019 Dec 12];27(9):1104–7. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=110203094&custid=s6224580