HIV/AIDS MENTAL HEALTH SERVICES DEMONSTRATION PROGRAM

艾滋病毒/艾滋病心理健康服务示范计划

• 批准号: 2288575
• 负责人: KEVIN J DOWNING
• 金额: --
• 依托单位: CITY OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-30 至 1998-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2288575
• 关键词: HIV; AIDS; MENTAL; HEALTH; SERVICES

In response to RFA# SM 94-02, the Philadelphia Department of Public Health, Office of Mental Health/Mental Retardation (OMH/MR) proposes via a cooperative agreement to initiate and evaluate an HIV/AIDS MH Services Demonstration Program. This represents a collaborative effort with consumers, HIV/AIDS service and MH providers, advocates, and researchers and is innovative in that it will be undertaken by a public agency (OMH/MR). private non-profit agencies (CO-MHAR. Hall Mercer. We The People),and an academic institution (University of Pennsylvania) Each provide unique skills and expertise. It is based on a CSP philosophy of consumer empowerment and focused on identified needs. Services are targeted to adults living with HIV/AIDS in Philadelphia, those who are affected by the disease (including children, significant others, & families), and leaders of support groups for these persons. There is a clearly demonstrated need for MH services for this population. Persons in Phila. with HIV/AIDS are faced with an array of MH problems including: depression; increased suicide risks; loss of social support; reactions to an incurable, stigmatizing infection; and, often, co-occurring substance abuse problems. Issues surrounding quality of life, feelings of empowerment, vocational skills, and high stress levels may complicate these concerns and compliance with medical regimens and risk behaviors to prevent further infection. Those affected by HIV/AIDS and care givers are impacted similarly and deal with loss and grieving. 30,000 persons are estimated in Philadelphia to be infected with HIV with over representation among people of color and a growing incidence for women. The existing MH system is unable to adequately address these needs as it targets persons with serious mental illnesses. Persons with HIV/AIDS, who do use these services, tend to use expensive emergency and inpatient services. Stigma also plays a role in preventing individuals from seeking MH services. Finally, risk factors such as homelessness, TB, and STDs are highly prevalent. In response to these needs, specific goals and objectives have been set forth and the following city-wide services are proposed: a Modified Clubhouse - to provide assessments, psychosocial rehabilitation, life skills, socialization. risk and transmission reduction counseling and peer counseling and other services for 150 individuals including those for women/children; a long term therapeutic service to provide counseling and psychiatric services for 200 individuals. Formal linkages with an array of providers (with emphasis on health care facilities) and services/systems integration strategies (e.g., benefit acquisition assistance, unified intake, assessment & rehabilitation planning, using additional funding sources) are designed to best address recipients multiple needs. A detailed evaluation plan examines the initiative's outcomes and process. This includes: examining service utilization, employing random sample, statistical analysis and participant observation techniques. and interviewing consumers, key informants and significant others. A management plan and detailed budget/justification maximize agency skill, consumer empowerment, and available resources. Confidentiality requirements/participant protection procedures are created to ensure consumer rights. The above depicts a comprehensive approach to meet the growing MH needs of persons living with/affected by the HIV/AIDS epidemic in Philadelphia.

作为对RFA#SM 94-02的回应，费城公共部门 健康，精神健康/精神发育迟滞办公室(OMH/MR)建议通过 启动和评估艾滋病毒/艾滋病卫生保健服务的合作协议 演示程序。这代表着与 消费者、艾滋病毒/艾滋病服务和MH提供者、倡导者和研究人员 它的创新之处在于它将由一个公共机构承担 (OMH/MR)。私营非营利机构(CO-MHAR.霍尔·默瑟。我们是 人)和一个学术机构(宾夕法尼亚大学) 提供独特的技能和专业知识。它基于CSP的理念 增强消费者的能力，并侧重于确定的需求。服务包括 针对费城感染艾滋病毒/艾滋病的成年人，那些 受疾病影响(包括儿童、重要的其他人和 家庭)，以及为这些人提供支助的团体领导人。有一个 清楚地表明了这些人口对MH服务的需求。在的人 菲拉。艾滋病毒/艾滋病患者面临着一系列MH问题，包括： 抑郁；自杀风险增加；失去社会支持；对 一种无法治愈的、耻辱性的感染；而且通常是同时存在的物质 虐待问题。围绕生活质量的问题，感受 赋权、职业技能和高压力水平可能会使问题复杂化 这些担忧以及对医疗方案和危险行为的遵守 防止进一步感染。受艾滋病毒/艾滋病影响的人和照顾者是 受到类似的影响，并处理损失和悲痛。3万人是 在费城估计感染艾滋病毒的人数过多 在有色人种中，女性的发病率不断上升。现有的MH 系统无法充分满足这些需求，因为它以人为目标 患有严重的精神疾病。艾滋病毒/艾滋病患者，使用这些药物的人 服务，往往使用昂贵的急救和住院服务。柱头 也起到了阻止个人寻求MH服务的作用。 最后，无家可归、结核病和性传播疾病等风险因素非常高。 很流行。针对这些需求，具体的目标和目的有 已经提出，并提议提供以下全市服务：a 改装后的会所-提供评估、心理社会康复、 生活技能，社交。减少风险和传播咨询以及 为150人提供同伴咨询和其他服务，包括 妇女/儿童；提供长期治疗服务，以提供咨询和 为200人提供精神科服务。与阵列的形式链接 提供者(重点是卫生保健设施)和 服务/系统集成战略(例如，收益获取 援助、统一接收、评估和康复规划、使用 其他资金来源)旨在最好地满足受助人的需求 多重需求。一份详细的评估计划将检查该计划的 结果和过程。这包括：检查服务利用率， 采用随机抽样、统计分析和参与式观察 技巧。并采访消费者、关键线人和重要人物 其他。管理计划和详细的预算/理由最大化 代理技能、消费者赋权和可用资源。 制定了保密要求/参与者保护程序 以确保消费者权益。上面描述了一种全面的方法来 满足艾滋病毒/艾滋病携带者/受影响者日益增长的MH需求 在费城流行。