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Social Service Needs of Persons Living with HIV/AIDS

Social Service Needs of Persons Living with HIV/AIDS. Kevin Lindamood, MSW Vice President, External Affairs Health Care for the Homeless. The Context of “Need”. Societal progression of the disease Advances in treatment SES and HIV HIV and SES SES and treatment. A Disease of Poverty?.

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Social Service Needs of Persons Living with HIV/AIDS

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  1. Social Service Needs of Persons Living with HIV/AIDS Kevin Lindamood, MSW Vice President, External Affairs Health Care for the Homeless

  2. The Context of “Need” • Societal progression of the disease • Advances in treatment • SES and HIV • HIV and SES • SES and treatment

  3. A Disease of Poverty? “The social service needs of my patients are as much about poverty as they are about HIV.” -April Ballard, LCSW-C, Moore Clinic

  4. “Resource” Service Needs Comprehensive Health Care • Primary Medical Care & Specialty Services • Medical Equipment • Addiction Treatment • Mental Health Services (Axis I) • HIV Education • Palliative Care/Hospice • Health Insurance/Programs • Co-pays/Premiums

  5. “Resource” Service Needs Residential Stability • Rental assistance • Eviction prevention • Utility assistance • Housing placement • Emergency shelter

  6. “Resource” Service Needs “Financial” Assistance • Direct cash assistance • Disability benefits • Transportation • Food assistance • Other resources

  7. “System” Service Needs • Case Management • Adherence Counseling • Legal Services • Less about “discrimination” • Health insurance • Financial benefits • Criminal records

  8. “Psychosocial” Service Needs Counseling & Support • Clinical Counseling (Adjustment) • Depression, Anxiety, Grief, Loss • Pastoral or Spiritual Counseling • Peer Support / Support Groups • Family Counseling • Counseling & Testing • Alternative therapies

  9. Necessary Service Delivery Approaches • Harm Reduction • Accessibility (walk-in, timeframes) • Outreach • “Housing First”

  10. Homelessness . . . • Symptom of poverty • Reveals gaps in service system “We can’t end homelessness by ending homelessness . . .”

  11. Targeted HIV Services • Good – Services where none existed • Bad – Fragmentation, Firing, Identifying • Ugly – Incentivizing HIV among vulnerable populations? Are the service needs of people at risk of or living with HIV/AIDS best met through the delivery of HIV Services?

  12. The Future of HIV Services? How can we invest limited resources toward the new health care paradigm?

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