AEGiS-13IAC: Delivering end-of-life care to individuals with HIV/AIDS: A national approach.

13th International AIDS Conference

Durban, South Africa - July 9-July 14, 2000

Delivering end-of-life care to individuals with HIV/AIDS: A national approach.

Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB711)

Raveis VH, Blum N, Aranda-Naranjo B, Alexander C, Hanna B, Patterson E, Rosefield H, Selwyn P
V.H. Raveis, Columbia University, 100 Haven Avenue Ste. 6A, New York, NY 10032, United States, Tel.: +1 212 304 55 63, Fax: +1 212 304 72 68, E-mail: vhr1@columbia.edu

ISSUES: Although in recent years the death rates from HIV/AIDS have fallen, each year at least 20,000 people die from AIDS in the United States. A new initiative by the HIV/AIDS Bureau in the Health Resources and Services Administration, U.S. Department of Health and Human Services is addressing the emerging challenges in providing appropriate care and services to individuals dying from HIV/AIDS who have difficulty accessing the health care system. Project: Special Programs of National Significance (SPNS) is supporting innovative service delivery models targeted to people with HIV/AIDS who are homeless, uninsured, substance abusers, and/or mentally ill, and individuals in or about to be released from correctional facilities. Through SPNS, five demonstration projects, encompassing rural, urban and suburban settings, are testing different models of end-of-life care delivery and service provision with various medically underserved and hard-to-reach populations dying from HIV/AIDS. A unique feature of this initiative is the establishment of an evaluation and technical support center to oversee a site-specific and multi-site evaluation effort and assist in the dissemination of information that will foster the replication and adaptation of viable service models with these populations. Result: The presentation will provide an overview of this innovative program, discuss the models of service delivery represented in the demonstration projects, describe the interdisciplinary care teams, delineate the services provided, describe the target populations, outline the evaluation outocmes and describe the lessons learned in implementing the demonstration projects. Key words: HIV/AIDS, service delivery models, End-of-life, underserved

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, HIV Infections, HIV Seropositivity, United States Health Resources and Services, Administration, Counseling, Federal Government, Empathy, Health Services Needs and Demand, Delivery of Health Care, United States, Human
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