In the early 1980s, gay men formed AIDS service organizations (ASOs) in areas hardest hit by the disease, such as San Francisco and New York City, to provide assistance to infected members of their own communities. The Ryan White CARE Act of 1990 made funds available for community‐based groups, such as ASOs, to provide support services to all people with HIV/AIDS. The epidemiology of AIDS has changed greatly in recent years, and increasing numbers of poor, minority women with children now contract HIV/AIDS. To determine if ASOs are in compliance with the CARE Act, this study surveyed 20 ASOs across the country and a number of their female clients to see if ASOs, some of which were started by gay men, have tailored their services for a growing minority, heterosexual population. The results indicate that a number of ASOs have been slow in responding to the diverse needs of women. Recommendations are offered to make the organizations more responsive.
The epidemiology of AIDS has changed greatly in recent years and increasing numbers of poor, minority women with children now contract HIV/AIDS. As infected women succumb to AIDS, many of their children become orphans. The paper explores the ability and appropriateness of the current child welfare system to care for healthy children orphaned by AIDS, and the likelihood of adoption for this population. The study includes a wide-ranging literature review of information about children orphaned by AIDS, and relevant information about the child welfare system, including racial bias. To determine current support for children orphaned by AIDS, the author surveyed social service departments and private agencies in eight major cities about programs available. Based on this information, the author proposes a series of policy initiatives aimed at alleviating the flight of children orphaned because of AIDS.
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