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JAIDS Journal of Acquired Immune Deficiency Syndromes:
doi: 10.1097/QAI.0b013e3181684c51
Epidemiology and Social Science

Brief Strengths-Based Case Management Promotes Entry Into HIV Medical Care: Results of the Antiretroviral Treatment Access Study-II

Craw, Jason A MPH*†; Gardner, Lytt I PhD*; Marks, Gary PhD*; Rapp, Richard C MSW‡; Bosshart, Jeff MSW, MPH*; Duffus, Wayne A MD, PhD§∥; Rossman, Amber LMSW¶; Coughlin, Susan L MPH#; Gruber, DeAnn PhD**; Safford, Lauretta A MSW††; Overton, Jon MSW‡‡; Schmitt, Karla PhD, ARNP, MPH§§

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Abstract

Objective: The Antiretroviral Treatment Access Study-II (ARTAS-II) evaluated a brief case management intervention delivered in health departments and community-based organizations (CBOs) to link recently diagnosed HIV-infected persons to medical care rapidly.

Methods: Recently diagnosed HIV-infected persons were recruited from 10 study sites across the United States during 2005 to 2006. The intervention consisted of up to 5 sessions with an ARTAS linkage case manager over a 90-day period. The outcome measure was whether or not the participant had seen an HIV medical care provider at least once within 6 months of enrollment. Multivariate logistic regression was used to identify significant predictors of receiving HIV medical care.

Results: Seventy-nine percent (497 of 626) of participants visited an HIV clinician at least once within the first 6 months. Participants who were older than 25 years of age, Hispanic, and stably housed; had not recently used noninjection drugs; had attended 2 or more sessions with the case manager; and were recruited at a study site that had HIV medical care colocated on its premises were all significantly more likely to have received HIV care.

Conclusions: The ARTAS linkage case management intervention provides a model that health departments and CBOs can use to ensure that recently diagnosed HIV-infected persons attend an initial HIV care encounter.

© 2008 Lippincott Williams & Wilkins, Inc.

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