Abstracts from the American Public Health Association 124th Annual Meeting,
November 1996


A Needs Assessment of Health and Social Service Providers in the Fields of Youth and HIV
Adolescents and young adults ages 12-24 are at high risk of HIV infection and other morbidities, but age-appropriate HIV prevention and care services are lacking.

A Survey of Women with HIV about Their Desires for Care
Women comprise the fastest growing group to be infected with HIV. It is important to understand what women with HIV want in their health services.

Abnormal Pap Smears are Common in Women with HIV and Better Measures are Needed to Enhance Compliance with Colposcopy

Women with HIV have an increased risk of cervical invasive neoplasia (CIN). To determine the effectiveness of Pap smear screening and follow-up of atypical squamous cells of undetermined significance (ASCUS) and CIN with colposcopy, we reviewed the results among our practice.

Addressing the Neuropsychiatric Management of HIV/AIDS Patients with Delirium
The University of Washington Department of Psychiatry and NW Education and Training Center has developed a project to enhance the delivery of psychiatric services to HIV infected clients and to increase the knowledge and perceived ability of providers and families to identify and access care for HIV/AIDS associated delirium and other neuropsychiatric illnesses.

Developing Information Systems That Support the Delivery of HIV Care in a Managed Care Environment
A range of data is required in order to deliver HIV care in a managed care system. Accurate information concerning service utilization and cost of care for persons with HIV/AIDS at different points in the course of their illness is used to perform rate calculation and appropriate risk adjustment.

Development of Parallel Case Histories to Measure HIV/AIDS Knowledge and Ability
An innovative feature of the Mountain-Plains Regional AIDS ETC's Special Project of National Significance (SPNS) is the use of case histories as impact evaluations. Rather than simply testing increase in knowledge, this project seeks to determine if providers can apply that knowledge to actual HIV-related care situations.

Educating Rural Providers to Improve HIV Prevention, Health Promotion and Early Intervention Service: A Comparative Study of Three Educational Methodologies
Rural health care providers have the opportunity to impact the epidemic through targeted prevention, health promotion and early intervention activities for at-risk and HIV-infected individuals.

Fighting for our Lives: Women of Color Confronting HIV/AIDS Building a Prevention Agenda
In 1996, women remain the fastest growing group of people with AIDS, and women of color have been most affected. Yet, women's needs for care as well as prevention are not adequately addressed. The best hope for stemming the rapid spread of HIV disease among women in the near future is prevention.

HIV Managed Care Through a Community-Based System of Care: The AIDS Healthcare Foundation of Los Angeles
AIDS Healthcare Foundation (AHF) is the largest community-based provider of HIV care in America. On April 1, 1995, AHF began the first comprehensive managed care program for people with HIV/AIDS in the United States.

HIV Managed Care Through a Hospital-Based System of Care: The Johns Hopkins HIV Care Program
The Hopkins HIV Care Program provides HIV primary care to approximately 2,600 patients. In 1994, John Hopkins University received an award from the Health Resources and Services Administration through the Special Projects of National Significance to evaluate the ethics, cost and quality of the managed care system administered through the Hopkins HIV Care Program.

HIV Primary Care and Computer-Based Distance Learning for Community Health Centers in Rural Mississippi
The incidence of HIV infection of Mississippi is highest among African-Americans and the uninsured. Rural community health center (CHC) clinics in Mississippi provide primary health care to a large proportion of this segment of the state's population, but are ill-prepared to test, counsel, and treat persons at risk for infection with HIV.

HIV Special Needs Plan Development
The AIDS Institute and Office of Managed Care of the New York State Department of Health awards $2 Million dollars in grants to 18 health care organizations for the development of planning models for HIV Special Needs Managed Care Plans.

Incorporation of an HIV Service Delivery System for Women into the Goals of a Medical School
A comprehensive care program for HIV-infected women was implemented in 1994-95 through two HRSA-sponsored grants.

Issues Regarding HIV Education, Counseling and Testing by Consent to Women of Reproductive Age in Chicago
Despite the recommendations from the Centers for Disease Control and Prevention (CDC) regarding the importance of HIV education, counseling, and testing for all women of reproductive age, especially pregnant women, a significant number of prenatal providers are not offering these services.

Metro DC Collaborative for Women with HIV/AIDS–an Infrastructure Change Model for Improving the Delivery of Services for Women with HIV
This paper will present findings from action research carried out during the first two years' implementation and process evaluation of a national demonstration project designed to ameliorate organizational barriers to care for HIV-infected women.

Metro DC Collaborative for Women with HIV–Reduction of Organizational Barriers to Care for HIV-Infected Women
The Center for Women Policy Studies (CWPS), in collaboration with PROTOTYPES, A Center for Innovation in Health, Mental Health and Social Services, has developed a model for organizational collaboration and policy development to reduce cultural, linguistic, and organizational barriers to care for HIV infected women who are underserved and experiencing significant barriers to care.

'Safe Place' - Expanding the Enrollment and Enhancing Retention of African American HIV-Infected Substance Abusers into Primary Care
Outreach, Inc. is utilizing a peer counselor and street team model for services delivery using indigenous staff to enroll and enhance the retention of HIV-infected substance abusers.

Training Providers and Families to Recognize and Manage Delirium in HIV/AIDS Patients
The purpose of this presentation is to increase understanding of delirium in the setting of HIV/AIDS. Delirium is a common, yet frequently misdiagnosed and mismanaged condition.


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