Medical College of Wisconsin
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"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):1104-7

Date

04/10/2015

Pubmed ID

25854534

Pubmed Central ID

PMC4596723

DOI

10.1080/09540121.2015.1028882

Scopus ID

2-s2.0-84943454398   25 Citations

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.

Author List

Broaddus MR, Hanna CR, Schumann C, Meier A

Author

Michelle R. Broaddus PhD Associate Professor in the Psychiatry department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Ambulatory Care Facilities
Case Management
Female
HIV Infections
Humans
Male
Middle Aged
Nurse-Patient Relations
Social Stigma
Social Support
Wisconsin
Young Adult