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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.
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.
1. Introduction 2. Living with HIV Disease: Mental Health, Substance Use and Social Supports 3. Advocating for My Client: Treatment Ideologies and Barriers to Integrated Treatment 4. I Just Don't Feel Like Taking Them: Adherence Counseling and Intensive Case Management 5. Finding Common Ground: Professional Cross-Training for Collaborative Systems of Care 6. Integrating Systems of Care for Multiply Diagnosed HIV/AIDS Clients 7. Advancing Advocacy: Moving from the Client to the System. Appendix A: Illness Narrative. Appendix B: HIV/AIDS Adherence Tracking Forms. Appendix C: Integration Plan. Appendix D: Proclamation of December 1 as World AIDS Day (2012).
