title: Case managers discovering what recovery means through an HIV prevention intervention.
abstract: Following a randomized trial of case manager delivered HIV prevention intervention to persons with severe mental illness (SMI), this study sought to document changes within the service environment and with case managers themselves as a result of their experience and skills training. Utilizing qualitative methods, researchers conducted focus groups and in-depth interviews with 22 case managers and 3 administrators at an urban community mental health center. Beyond confirming previously established barriers to case manager delivery of HIV prevention interventions for persons with SMI, most noteworthy was the finding that case managers were generally unskilled in conducting assessments and tended to focus on "spoiled identity" and illness parts of their consumers. Experimental case managers revealed that they had been transformed by the training experience in a manner permitting them to both understand and work from a recovery model. Implications and directions for further study are discussed.
authors.affiliation: School of Social Policy and Practice, University of Pennsylvania, 3815 Walnut Street, Philadelphia, PA 19104-6214, USA. julie.tennille@gmail.com
authors.forename: Julie
authors.initials: J
authors.lastname: Tennille
authors.forename: Phyllis
authors.initials: P
authors.lastname: Solomon
authors.forename: Michael
authors.initials: M
authors.lastname: Blank
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control; D019090:Case Management; D002983:Clinical Competence; D003155:Community Mental Health Centers; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000534:rehabilitation; D008605:Mental Health Services / Q000458:organization & administration*; D028642:Persons with Psychiatric Disorders / Q000523:psychology; D015397:Program Evaluation; D036301:Qualitative Research; D012309:Risk-Taking; D012725:Sexual Behavior