Brief strengths-based case management promotes entry into HIV medical care: results of the antiretroviral treatment access study-II.
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.
Craw
Jason A
JA
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. emf4@cdc.gov
Gardner
Lytt I
LI
Marks
Gary
G
Rapp
Richard C
RC
Bosshart
Jeff
J
Duffus
Wayne A
WA
Rossman
Amber
A
Coughlin
Susan L
SL
Gruber
DeAnn
D
Safford
Lauretta A
LA
Overton
Jon
J
Schmitt
Karla
K
D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D019090:Case Management / Q000706:statistics & numerical data*; D015331:Cohort Studies; D003625:Data Collection; D005260:Female; D015658:HIV Infections / Q000188:drug therapy; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D011795:Surveys and Questionnaires
D019380:Anti-HIV Agents