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Adolescent Care Demonstration & Evaluation

About this initiative...
Background  
Grantees
Journal Articles
 

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Background

Ten models of adolescent HIV care were funded to advance knowledge about the engagement of HIV-positive and at-risk adolescents and young adults in care.

Effective service models for this population may include such elements as (a) peer-youth information and dissemination; (b) peer-youth advisory groups; (c) peer youth outreach and support; (d) professional, tightly linked medical social support networks; and (e) active case management and advocacy, for individual clients as well as the programs themselves, to link the various components together. One of the most important factors in a service model’s success is that youth and professionals share an equal partnership in all stages of program design, planning, and implementation.

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Grantees 

  • Bay Area Young Positives, Inc., San Francisco, California
  • Children’s Hospital, Boston, Massachusetts (Boston HAPPENS Program)
  • Greater Bridgeport Adolescent Pregnancy Program, Bridgeport, Connecticut (Teen Outreach and Primary Services Project)
  • Childrens Hospital, Los Angeles, California
  • Health Initiatives for Youth, San Francisco, California
  • Indiana State Department of Health, Indianapolis, Indiana (Indiana Youth Access Project)
  • YouthCare, Seattle, Washington (Prevention, Intervention and Education Program)
  • University of Alabama, Birmingham, Alabama (Teenage Access Project)
  • University of Minnesota Youth and AIDS Project, Minneapolis, Minnesota
  • Walden House, Inc., San Francisco, California (Young Adult HIV Program)
  • The Measurement Group (Evaluation Center for Initiative)

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Journal Articles  

Woods ER, Samples CL, Melchiono MW, & Harris SK Boston HAPPENS Program: HIV-positive, homeless, and at-risk youth can access care through youth-oriented HIV services. Seminars in Pediatric Infectious Diseases, January 2003; 14 (1): 43-53.  PubMed Abstract

Woods ER, Samples CL, Melchiono MW, Keenan PM, Fox DJ, Harris SK & the Boston HAPPENS Program Collaborators.  Initiation of services in the Boston HAPPENS Program: human immunodeficiency virus-positive, homeless, and at-risk youth can access services. AIDS Patient Care and STDS, October 2002; 16 (10): 497-510. PubMed Abstract

Remafedi G. Linking HIV-seropositive youth with health care: evaluation of an intervention. AIDS Patient Care and STDS, March 2001; 15 (3): 147-51. PubMed Abstract

Huba GJ, Melchior LA, Panter AT, Trevithick L, Woods ER, Wright E, Feudo R, Tierney S, Schneir A, Tenner A, Remafedi G, Greenberg B, Sturdevant M, Goodman E, Hodgins A, Wallace M, Brady RE, & Singer B. Risk factors and characteristics of youth living with, or at high risk for, HIV. AIDS Education and Prevention, December 2000; 12 (6): 557-575. PubMed Abstract

Huba GJ, Melchior LA, Woods ER, Panter AT, Feudo R, Schneir A, Trevithick L, Wright E, Martinez R, Sturdevant M, Remafedi G, Greenberg B, Tierney S, Wallace M, Goodman E, Tenner A, Marconi K, Brady RE, & Singer B. Service use patterns of youth with, and at high risk for, HIV: a care typology. AIDS Patient Care and STDS, July 2000; 14 (7): 359-379. PubMed Abstract

Huba GJ, Melchior LA, Greenberg B, Trevithick L, Feudo R, Tierney S, Sturdevant M, Hodgins A, Remafedi G, Woods ER, Wallace M, Schneir A, Kawata AK, Brady RE, Singer B, Marconi K, Wright E, & Panter AT.  Predicting substance abuse among youth with, or at high risk for, HIV. Psychology of Addictive Behaviors, June 2000; 14 (2): 197-205. PubMed Abstract

Rosenfeld SL, Keenan PM, Fox DJ, Chase LH, Melchiono MW, & Woods ER. Youth perceptions of comprehensive adolescent health services through the Boston HAPPENS program. Journal of Pediatric Health Care, March-April 2000; 14 (2): 60-67. PubMed Abstract

Goodman E, Samples CL, Keenan PM, Fox DJ, Melchiono M, & Woods ER. Evaluation of a targeted HIV testing program for at-risk youth. Journal of Health Care for the Poor and Underserved, November 1999; 10 (4): 430-442. PubMed Abstract

Lin YG, Melchiono MW, Huba GJ, & Woods ER. Evaluation of a linked service model of care for HIV-positive, homeless, and at-risk youths. AIDS Patient Care and STDS, October 1998; 12 (10): 787-796. PubMed Abstract

Brady RE, Singer B, and Marconi KM. Special Projects of National Significance Program: ten models of adolescent HIV care. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 1-4. No abstract available.

Woods ER. Overview of the Special Projects of National Significance Program's 10 models of adolescent HIV care. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 5-10.  PubMed Abstract

Huba GJ and Melchior LA. A model for adolescent-targeted HIV/AIDS services: conclusions from 10 adolescent-targeted projects funded by the Special Projects of National Significance Program of the Health Resources and Services Administration. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 11-27. PubMed Abstract

Bettencourt T, Hodgins A, Huba GJ, & Pickett G. Bay Area Young Positives: A Model of a Youth-Based Approach to HIV/AIDS Services. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 28-36. PubMed Abstract

Woods ER, Samples CL, Melchiono MW, Keenan PM, Fox DJ, Chase LH, Tierney S, Price VA, Paradise JE, O'Brien RF, Mansfield CJ, Brooke RA, Allen D, & Goodman E. Boston HAPPENS Program: a model of health care for HIV-positive, homeless, and at-risk youth. Human immunodeficiency virus (HIV) Adolescent Provider and Peer Education Network for Services. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 37-48.  PubMed Abstract

Feudo R, Vining-Bethea S, Shulman LC, Shedlin MG, & Burleson JA. Bridgeport's Teen Outreach and Primary Services (TOPS) project: a model for raising community awareness about adolescent HIV risk. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 48-58. PubMed Abstract

Schneir A, Kipke MD, Melchior LA, & Huba GJ. Childrens Hospital Los Angeles: a model of integrated care for HIV-positive and very high-risk youth. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 59-70. PubMed Abstract

Bourdon B, Tierney S, Huba GJ, Lothrop J, Melchior LA, Betru R, & Compoc K. Health Initiatives for Youth: a model of youth/adult partnership approach to HIV/AIDS services.  Journal of Adolescent Health, August 1998; 23 (2 Supplement): 71-82.  PubMed Abstract

Wright ER, Gonzalez C, Werner JN, Laughner ST, & Wallace M. Indiana Youth Access Project: a model for responding to the HIV risk behaviors of gay, lesbian, and bisexual youth in the heartland.  Journal of Adolescent Health, August 1998; 23 (2 Supplement): 83-95. PubMed Abstract

Tenner AD, Trevithick LA, Wagner V, & Burch R. Seattle YouthCare's prevention, intervention, and education program: a model of care for HIV-positive, homeless, and at-risk youth.  Journal of Adolescent Health, August 1998; 23 (2 Supplement): 96-106. PubMed Abstract

Sturdevant MS, Kohler CL, Williams LF, & Johnson JE. The University of Alabama Teenage Access Project: a model for prevention, referrals, and linkages to testing for high-risk young women. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 107-114.  PubMed Abstract

Remafedi G. The University of Minnesota Youth and AIDS Projects' Adolescent Early Intervention Program: a model to link HIV-seropositive youth with care. Journal of Adolescent Health, August 1998; 23 (2 Supplement): 115-121. PubMed Abstract

Hymel MS and Greenberg BL. The Walden House Young Adult HIV project: meeting the needs of multidiagnosed youth.  Journal of Adolescent Health, August 1998; 23 (2 Supplement): 122-131.  PubMed Abstract

Tenner A, Feudo R, & Woods ER.  Shared experiences: three programs serving HIV-positive youths. Child Welfare, March-April 1998; 77 (2): 222-250. PubMed Abstract

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Part F - SPNS Resources

A Living History: Get the Back Story Image.

The SPNS program began with some of the first Federal grants to target adolescents and women living with HIV, and over the years, initiatives have been developed to reflect the evolution of the epidemic and the health care arena.



Part F - SPNS Products and Publications

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