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Terry Gibson combines large-scale industry analysis with attention to the lives and worlds of the people the aid industry aims to serve, and he demonstrates how to overcome barriers between the two worlds and free flows of learning, resources, and even political influences that might lead to better outcomes.

The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act gives funding to cities, states, and other public and private entities to provide care and support services to individuals with HIV and AIDS who have low-incomes and little or no insurance. The CARE Act is a discretionary program that relies on annual appropriations from Congress to provide care for low-income, uninsured, or underinsured individuals who have no other resources to pay for care. Despite its successes, funding has been insufficient to address all of the inequalities and gaps in coverage for people with HIV. In response to a congressional mandate, an Institute of Medicine committee was formed to reevaluate whether CARE allocation strategies are an equitable and efficient way of distributing resources to jurisdictions with the greatest needs and to assess whether quality of care can be refined and expanded. Measuring What Matters: Allocation, Planning, and Quality Assessment for the Ryan White CARE Act proposes several types of analyses that could be used to guide the evaluation and improvement of allocation formulas, as well as a framework for assessing quality of care provided to HIV-infected persons.

Improve quality of life for patients with HIV/AIDS! Practice Issues in HIV/AIDS Services: Empowerment-Based Models and Program Applications provides a sound framework of intervention practices for case managers and care coordinators to help HIV/AIDS patients live longer and healthier lives. This book focuses on client-based care that addresses the social and psychological needs of the patient as well as his or her physical and medical requirements. Filled with concrete information and recommendations from practitioners and researchers, this instructive text will help increase the effectiveness of your role in the client's treatment. Practice Issues in HIV/AIDS Services leads the reader from a conceptual framework of approaches related to the ongoing HIV/AIDS crises to specific case studies focused mainly on interventions. Practice models of case management are discussed and applied to clients with special needs, including injection drug users, Mexican migrant farm workers, and African-American underserved populations. Examples of the practice models discussed in this book include: the Generalist social work practice model—emphasizing problem-solving at various system levels through the process of relationship building, data gathering, assessing, intervening, evaluating interventions, and terminating services the Broker model—focusing on activities which will increase the client's linkage to services, then terminating the client-case manager relationship the Therapeutic or Clinical model—establishing a relationship with the case manager as a treatment provider with rapport and trust as a therapeutic intervention the Therapeutic Team Approach or Assertive Community Treatment (ACT)—utilizing multidisciplinary teams to provide a range of specialty services to clients with the intent to reduce unnecessary hospitalizations and improve independent functioning in the community. Well referenced, with dependable methodologies and sound conclusions, Practice Issues in HIV/AIDS Services is an essential text for case managers, health professionals, and educators and students of social work. Its emphasis on special populations, with new approaches to case management and techniques to strengthen present ones, makes this book an important addition to anyone's reference collection. About the Editors Contributors Foreword (Gwendolyn Spencer Prater) Chapter 1. A Generalist Practice Model in HIV/AIDS Services: An Empowerment Perspective (Ronald J. Mancoske and James Donald Smith) The Ongoing Challenges of HIV/AIDS Generalist Practice Model The Relationship Process: Engaging Client Systems in Services The Data-Gathering Process Assessment Interventions Evaluation of Services The Termination Process Conclusion Chapter 2. Case Management (DeAnn Gruber) Introduction Case Management Models Research of Case Management Emerging Issues in the Field Service Implications Conclusion Chapter 3. The Transtheoretical Model of Behavior and Injection Drug Use (San Patten) Introduction Risk Reduction Among IDUs The Transtheoretical Model of Behavior Change Practitioners' Application of the TTM Current and Future Research of the TTM with IDUs Conclusion Chapter 4. Utilization of Needle Exchange Programs and Substance Abuse Treatment Services by Injection Drug Users: Social Work Practice Implications of a Harm Reduction Model (Therese Fitzgerald, Timothy Purington, Karen Davis, Faith Ferguson, and Lena Lundgren) Introduction The Harm Reduction Philosophy Needle Exchange Programs Massachusetts State Treatment Needs Assessment Program Practice Implications Conclusion Chapter 5. HIV Prevention Models with Mexican Migrant Farmworkers (Kurt C. Organista) Introduction HIV/AIDS, Mexican Farmworkers, and Agricultural Labor in the United States Research-Informed Understanding of HIV Risk HIV Risk Factors in Mexican Migrant Laborers HIV/AIDS-Related Knowledge, Attitudes, Beliefs, and Behaviors Contextualizing HIV Risk Conceptual Model of Risk Implications for HIV Prevention and Treatment Services: State of the Art and Beyond Long-Term Recommendations: Expanding Resources, Infrastructure, and Labor Reform Chapter 6. A Family Intervention Model for Engaging Hidden At-Risk African Americans in HIV Prevention Programs (Larry D. Icard and Nushina Siddiqui) Introduction African Americans and HIV African Americans As Hidden Populations Family-Focused Interventions and Hidden Populations Factors to Consider Conclusion Chapter 7. HIV/AIDS Among African Americans in the Mississippi/Louisiana Delta Region: A Macro-Practice Empowerment Model (Peggy Pittman-Munke and Vincent J. Venturini) Statement of the Problem African Americans and the Risk of HIV/AIDS HIV/AIDS in Rural America Proposed Practice Model for Culturally Sensitive Practice with African Americans Chapter 8. Cultural Influences on HIV/AIDS Prevention: Louisiana African- American Women (Sybil G. Schroeder) Introduction HIV/AIDS Statistical Overview Louisiana African-American Women Ethnic Epistemology Culture in Prevention Efforts Index Reference Notes Included

This book explains how, and why, economics has been applied to a terrible pandemic, using a range of examples mostly drawn from the region most affected, sub-Saharan Africa. Part I shows that microeconomic approaches have found fertile ground in a public health approach that 'blames' individual choices for HIV transmission. Despite their attractiveness, however, these approaches fail to explain contemporary patterns of HIV prevalence, illustrating the importance of factors that are excluded from the standard micro-economic approach. Part II of the book looks at our problems in understanding the economic impact of AIDS, and explains why economists cannot agree if epidemic disease is a good or bad thing for economic development. In both sections of the book, the potential for alternative approaches is shown, and the book ends by arguing that a political economy approach can bring meaningful insights to our understanding of the spread and impact of HIV/AIDS.

Practice Issues in HIV/AIDS Services: Empowerment-Based Models and Program Applications provides a sound framework of intervention practices for case managers and care coordinators to help HIV/AIDS patients live longer and healthier lives. This book focuses on client-based care that addresses the social and psychological needs of the patient as well as his or her physical and medical requirements. Filled with concrete information and recommendations from practitioners and researchers, this instructive text will help increase the effectiveness of your role in the client's treatment.

An understudied aspect of the HIV/AIDS epidemic is the creation of hundreds of thousands of grandparent-headed households that have become home to children bereft of one or both of their parents. Such \"skip-generation parenting\" presents a host of challenges to the families involved and the social programs designed to assist them. Despite this unprecedented caregiving responsibility, older surrogate parents remain relatively invisible, hidden in the shadows of HIV care and the demands of raising a child. The primary goal of Invisible Caregivers is to generate, support, and guide program and policy initiatives designed to meet the needs of elder surrogates and their families. Most social service programs are not able to identify the needs of older surrogates, often because these surrogate parents in HIV-infected families are reluctant to make their needs known for fear of social stigma or possible reductions of benefits. Multiple systemic barriers to case management and other services also frustrate attempts to bring available resources to elder caregivers. These barriers include professional ignorance or denial that HIV affects surrogates, eligibility restrictions through CARE, limited funding and age restriction on OAA, and a fragmented health and human service system. Because the issues facing elder caregivers are many and varied, this collection covers a host of issues: community health, aging, HIV services, child welfare, education, public policy, and mental health.