Prevention For Positives: Challenges And Opportunities For Integrating Prevention Into HIV Case Management

Abstract

Despite nearly 20 years of HIV prevention efforts, rates of new HIV infection persist at an alarming rate. As successful antiretroviral medications enable many HIV infected persons to live longer, healthier lives, interventions are necessary to support ongoing prevention and reduced risk behaviors. This article describes a survey that was used to assess the opportunities and challenges related to the integration of prevention screening into the work of HIV/AIDS case managers. The article describes the survey, reports the findings (N = 101), and concludes with a discussion of issues that must be addressed prior to incorporating prevention screening into HIV/AIDS case management.

Formation of Personal HIV Disclosure Policies among HIV-Positive Men Who Have Sex with Men

“…47,78 Furthermore, there are often inherent conflicts of interest for case managers in the dual roles of brokering services and discussing behavior change. 9 Recent innovations suggest medical care providers themselves can be effective in counseling PLHA to reduce unsafe sexual behavior. 79 Professional recertification should include courses with content designed to assist a variety of health service practitioners with becoming comfortable discussing matters of sexuality and to 540 RUTLEDGE confront internalized oppressions that may militate against sympathetic responses to those seeking help.…”

“…4 Accordingly, federal funding sources and state health departments are prioritizing ''prevention with positives'' along with ''know your HIV status'' campaigns in the United States. 5 Although focusing transmission risk reduction interventions on HIV-positive persons is logical and increasing as evidenced by reports in the literature documenting individual, couple, group, social marketing, and community level approaches, [6][7][8][9][10][11][12] serostatus disclosure as a prevention strategy has been less emphasized.…”

HIV Care Providers' Implementation of Routine Alcohol Reduction Support for Their Patients

“…2,19,[22][23][24] Less experienced providers (who constitute a substantial proportion of the HIV care workforce as a result of high provider turnover rates 25,26 ) may find it especially challenging to incorporate addiction counseling into their interactions with patients if they lack the skills, confidence, experience, and organizational support to do so. 21,27,28 Regardless of their experience with HIV patients, providers' personal alcohol use may be an additional unspoken barrier. The importance of alcohol reduction among HIV patients, however, argues for the need for its support by HIV care providers.…”

Single-Session Motivational Enhancement Counseling to Support Change Toward Reduction of HIV Transmission by HIV Positive Persons

“…However, it appears that, until recently, ASOs hired case managers primarily to assist people living with HIV/AIDS in acquiring and maintaining social and medical services and welfare benefits. Such staff are often unready and untrained to counsel individuals about their sex lives (Mitchell & Linsk, 2001). In short, prevention and care services are bifurcated.…”