Navigating Transition and Staying Healthy: Supporting Youth to Manage their HIV Care Andrew Fullem AIDSTAR-One. Framing the Issue. We should be celebrating Choices to be made Issues Kids are kids Health systems under stress Under-utilized community structures
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“A multifaceted, active process that attends to the medical, psychological, and educational or vocational needs of adolescents as they move from the child focused to the adult focused health care ”
Reiss and Gibson 2002
Vijayan et al. AIDS Care 21(10):1222-9
Issues to Address Regarding Transition of HIV Care and Support
Source: Hodgson et al. (2011), Jacob and Jearld (2007), and Reiss, Gibson, and Walker (2005).
Phase Two: The client and caregiver meet with the provider and discuss the CTC in the contexts of improving self-care, medication independence, adherence, etc.
Phase One: The provider begins to discuss the transition process with the client and caregiver using the Comprehensive Transition Checklist (CTC) to review the self-care progress of the adolescent
Phase Three: The client has the first checkup without the caregiver at the clinic. The provider and client use the CTC to review self-care goals that include medication independence, adherence, etc.
Phase Four: Constant communication and regular follow-up with community care providers that include psychosocial support, mental health, sexual and reproductive health services, disclosure, etc.
Adapted from Maturo et al. 2011.
Table 8. The Zvandiri Model for Psychosocial Care for ALHIV from Zimbabwe