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Teresa L. Scheid - Comprehensive Care for HIV/AIDS: Community-Based Strategies

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Comprehensive Care for HIV/AIDS: Community-Based Strategies: summary, description and annotation

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A comprehensive health care system consists of services that are coordinated and integrated along the full continuum of care. For HIV patients, this includes physical health care, infectious disease management, crisis care, mental health care, substance abuse counseling, and social support services including housing, transportation, subsistence, and supports for dealing with multiple sources of stigma. This book highlights the dilemmas faced in providing comprehensive, integrated care to individuals living with HIV, providing both an understanding of existing efforts to integrate diverse systems of care, as well as insight into ways in which systems of care must be challenged in order to meet the needs of people living with HIV. Comprehensive Care for HIV/AIDS is the result of collaborative work with the county Health Department, numerous community-based organizations, and several planning boards in a metropolitan area, which have sought to provide integrated care to people living with HIV. It will be a valuable resource to the diverse community of HIV researchers, advocates and providers.

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Comprehensive Care for HIVAIDS A comprehensive health care system consists of - photo 1
Comprehensive Care for HIV/AIDS
A comprehensive health care system consists of services that are coordinated and integrated along the full continuum of care. For HIV patients, this includes physical health care, infectious disease management, crisis care, mental health care, substance abuse counseling, and social support services including housing, transportation, subsistence, and supports for dealing with multiple sources of stigma. This book highlights the dilemmas faced in delivering comprehensive, integrated care to individuals living with HIV, providing both an understanding of existing efforts to integrate diverse systems of care, as well as insight into ways in which systems of care must be challenged in order to meet the needs of people living with HIV. Comprehensive care for HIV/AIDS is the result of collaborative work with the county Health Department, numerous community-based organizations, and several planning boards in a metropolitan area, which have sought to provide integrated care to people living with HIV. It will be a valuable resource to the diverse community of HIV researchers, advocates, and providers.
Teresa L. Scheid is Professor of Sociology at the University of North Carolina at Charlotte, with appointments in Public Policy, Public Health, and Health Services Research.
Routledge Studies in Health and Social Welfare
1 Researching Trust and Health
Edited by Julie Brownlie, Alexandra Greene and Alexandra Howson
2 Health, Illness and Culture
Broken Narratives
Edited by Lars-Christer Hydn and Jens Brockmeier
3 Biopolitics and the Obesity Epidemic
Governing Bodies
Edited by Jan Wright and Valerie Harwood
4 Globalization and Health
Pathways, Evidence and Policy
Edited by Ronald Labont, Ted Schrecker, Corinne Packer, and Vivien Runnels
5 Gender Equity in Health
The Shifting Frontiers of Evidence and Action
Edited by Gita Sen and Piroska stlin
6 Perspectives on Care at Home for Older People
Edited by Christine Ceci, Kristn Bjrnsdttir and Mary Ellen Purkis
7 Transnational Social Support
Edited by Adrienne Chambon, Wolfgang Schrer and Cornelia Schweppe
8 The Transformation of Contemporary Health Care
The Market, the Laboratory, and the Forum
Tiago Moreira
9 Children with Gender Identity Disorder
A Clinical, Ethical, and Legal Analysis
Simona Giordano
10 Social Housing in Transition Countries
Edited by Jzsef Hegeds, Martin Lux and Nra Teller
11 Philosophies and Practices of Emancipatory Nursing
Social Justice as Praxis
Edited by Paula N. Kagan, Marlaine C. Smith and Peggy L. Chinn
12 Comprehensive Care for HIV/AIDS
Community-Based Strategies
Teresa L. Scheid
First published 2015
by Routledge
711 Third Avenue, New York, NY 10017
and by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
Routledge is an imprint of the Taylor & Francis Group, an informa business
2015 Taylor & Francis
The right of Teresa L. Scheid to be identified as author of this work has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
Scheid, Teresa L., author.
Comprehensive care for HIV/AIDS : community-based strategies / by
Teresa L. Scheid.
p. ; cm. (Routledge studies in health and social welfare ; 12)
Includes bibliographical references and index.
I. Title. II. Series: Routledge studies in health and social welfare ; 12.
[DNLM: 1. Community Health Servicesorganization &
administration. 2. HIV Infections. 3. Comprehensive Health
Careorganization & administration. 4. Continuity of Patient Care
organization & administration. WC 503]
RA643.8
362.1969792dc23
2014009885
ISBN: 978-1-138-79178-7 (hbk)
ISBN: 978-1-315-76257-9 (ebk)
Typeset in Sabon
by Apex CoVantage, LLC
Contents
An ideal health care system consists of services that are coordinated and integrated along the full continuum of care. For HIV/AIDS patients, this includes physical health care, infectious disease management, crisis care, mental health care, substance abuse counseling, and social support services including housing, transportation, subsistence, and supports for dealing with multiple sources of stigma. However, we do not have the conceptual tools or theoretical frameworks to direct these kinds of changes. In this volume, I highlight the dilemmas faced in providing comprehensive, integrated, wholistic care to individuals living with HIV disease. Comprehensive Care for HIV/AIDS provides both an understanding of existing efforts to integrate diverse systems of care, as well as insight into ways in which systems of care must be challenged in order to meet the needs of people living with HIV/AIDS.
This volume is the result of my collaborative work with the county Health Department, numerous community based organizations, and several community planning boards in the greater Charlotte region, which have sought in various ways to provide integrated care to people living with HIV/AIDS. I begin with client level data to highlight the negative synergy of living with multiple highly stigmatized health problems. I then turn to various ways in which the HIV/AIDS care system has sought to address these problems: case management, adherence counseling, and system wide cross training. Each chapter is based upon the efforts of providers to improve the system of HIV/AIDS care; however, these approaches are limited in that they do not address system wide sources of fragmentation. In the final two chapters, I address the work of three planning councils that developed comprehensive integration plans, describing how community planning can work and what factors work against efforts to reform systems of care.
The volume is an important addition to literature on HIV/AIDS care and service system integration, and will be of interest not only to HIV/AIDS providers, but to those who provide care to chronic care populations, and community health planners. Academically, it extends understanding of health care fragmentation and its ideological sources. It is also an important addition to the literature on community based participatory action research, as that framework is the basis for all the data collected. It is to this diverse community of clients, advocates, providers, and researchers that I address this volume.
I also want to thank those who I have worked so closely with the past 15 years. I began my work as a community researcher with Anne Dalton; together we moved from collaborative research in mental health to the HIV/AIDS Integration Project, and our efforts to integrate care continued on the HIV Task Force. Cheryl Emanual has been exemplary in her advocacy for improved community health and reducing health disparities. She has a remarkable ability to communicate and build consensus among diverse community stakeholders and I have learned so much from her. My co-collaborators in the numerous cross training projects described in really stretched my teaching ability as I moved from the college classroom to the communityespecially Joanne Jenkins, a goddess in every sense of the word. Finally, I want to thank Terry Ellington, who shares my over-riding concern with system level thinking and who continues to fight tirelessly to improve the HIV/AIDS system of care and collaboration.
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