Fostering a 'Feeling of Worth' Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists.

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  • Additional Information
    • Affiliation:
      Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
      Bloomberg School of Public Health, Department of Health, Behavior, and Society, Johns Hopkins University, Baltimore, Maryland.
      AIDS/HIV Program, Wisconsin Department of Health Services, Madison, Wisconsin.
      Center for AIDS Prevention Studies, University of California, Department of Medicine, San Francisco, San Francisco, California.
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      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.
    • Journal Subset:
      Biomedical; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA
    • ISSN:
      1087-2914
    • MEDLINE Info:
      NLM UID: 9607225
    • Publication Date:
      20171010
    • Publication Date:
      20181001
    • Accession Number:
      http://dx.doi.org/10.1089/apc.2017.0048
    • Accession Number:
      125493124
  • Citations
    • ABNT:
      BROADDUS, M. R. et al. Fostering a “Feeling of Worth” Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists. AIDS Patient Care & STDs, [s. l.], v. 31, n. 10, p. 438–446, 2017. DOI 10.1089/apc.2017.0048. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=125493124&custid=s6224580. Acesso em: 21 fev. 2020.
    • AMA:
      Broaddus MR, Owczarzak J, Schumann C, Koester KA. Fostering a “Feeling of Worth” Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists. AIDS Patient Care & STDs. 2017;31(10):438-446. doi:10.1089/apc.2017.0048.
    • APA:
      Broaddus, M. R., Owczarzak, J., Schumann, C., & Koester, K. A. (2017). Fostering a “Feeling of Worth” Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists. AIDS Patient Care & STDs, 31(10), 438–446. https://doi.org/10.1089/apc.2017.0048
    • Chicago/Turabian: Author-Date:
      Broaddus, Michelle R., Jill Owczarzak, Casey Schumann, and Kimberly A. Koester. 2017. “Fostering a ‘Feeling of Worth’ Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists.” AIDS Patient Care & STDs 31 (10): 438–46. doi:10.1089/apc.2017.0048.
    • Harvard:
      Broaddus, M. R. et al. (2017) ‘Fostering a “Feeling of Worth” Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists’, AIDS Patient Care & STDs, 31(10), pp. 438–446. doi: 10.1089/apc.2017.0048.
    • Harvard: Australian:
      Broaddus, MR, Owczarzak, J, Schumann, C & Koester, KA 2017, ‘Fostering a “Feeling of Worth” Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists’, AIDS Patient Care & STDs, vol. 31, no. 10, pp. 438–446, viewed 21 February 2020, .
    • MLA:
      Broaddus, Michelle R., et al. “Fostering a ‘Feeling of Worth’ Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists.” AIDS Patient Care & STDs, vol. 31, no. 10, Oct. 2017, pp. 438–446. EBSCOhost, doi:10.1089/apc.2017.0048.
    • Chicago/Turabian: Humanities:
      Broaddus, Michelle R., Jill Owczarzak, Casey Schumann, and Kimberly A. Koester. “Fostering a ‘Feeling of Worth’ Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists.” AIDS Patient Care & STDs 31, no. 10 (October 2017): 438–46. doi:10.1089/apc.2017.0048.
    • Vancouver/ICMJE:
      Broaddus MR, Owczarzak J, Schumann C, Koester KA. Fostering a “Feeling of Worth” Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists. AIDS Patient Care & STDs [Internet]. 2017 Oct [cited 2020 Feb 21];31(10):438–46. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=125493124&custid=s6224580