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The Utilization and Role of Peers in HIV Interdisciplinary Teams (Paperback)
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The Utilization and Role of Peers in HIV Interdisciplinary Teams (Paperback)
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Loot Price R417
Discovery Miles 4 170
Expected to ship within 10 - 15 working days
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On February 23, 2009, a consultation meeting was held to examine
the use of peers in HIV interdisciplinary care settings. The
meeting was convened by the U.S. Department of Health and Human
Services (HHS), Health Resources and Services Administration
(HRSA), HIVAIDS Bureau (HAB). Participants included HRSA
representatives, Ryan White HIV/AIDS Program grantees, researchers,
technical assistance providers, health care professionals, program
managers and HIV positive peers. Participants heard about the ways
in which peers were being used in the fields of HIV, cancer and
diabetes to facilitate access to care, treatment and health-related
services. The purpose of the meeting, explained Steven Young, HAB's
Director of Training and Technical Assistance, was to gain greater
insight into the benefits and challenges of having peers on health
care teams, to identify the major components of an ideal peer
program, and to make recommendations regarding ways in which peer
interventions could be funded and sustained within HIV systems of
care. Young explained that in the Ryan White HIV/AIDS Program,
peers are HIV positive individuals who share identifying
characteristics with individuals or population groups receiving
care or services. Peers and clients share similar experiences and
challenges related to class, race, age, gender, language, culture
and recovery from substance abuse and/or trauma. These common
characteristics often provide peers with deep insight into the
feelings and behaviors of clients, and help them forge both
personal credibility and trusting relationship with clients. In the
field, said Young, peers are also called coaches, community health
workers and patient navigators, among other titles. HAB's
particular interest is in examining the role of peers on
interdisciplinary health care teams, whose focus in the Ryan White
HIV/AIDS Program is to engage and retain clients in high quality,
HIV care. Young emphasized the important role that peers (also
called consumers) have played in the Ryan White HIV/AIDS Program
since its inception. Peers participate in program planning
activities, serve as grant reviewers, participate on program
advisory committees and boards, and hold positions as volunteers
and staff at local health clinics and community-based organizations
(CBOs). They serve as faculty of the AIDS Education and Training
Centers program. HAB cooperative agreements and grants have
supported leadership development for peers to promote their
involvement in HIV/AIDS programs. "On an individual level, we have
heard from peers that involvement in our programs helps them feel
less isolated and gives them an increased sense of purpose," said
Young. He added that peers can help improve HIV health care
delivery and assessment of client needs, as well as reduce cultural
and linguistic barriers, and stigma. Despite widespread
acknowledgement within Ryan White that peers play a beneficial
role, their function has not been well documented or codified. As a
result, HAB is seeking guidance on: Training and support needs of
peers; Ideal roles for peers (i.e., staff, volunteers, etc);
Financial support for the peer role (grants, reimbursement, etc.);
Identification of reasonable client and organizational outcomes
related to the use of peers; and Suggestions on how peers might be
integrated into specific, legislatively identified core services,
such as medical case management and adherence support.
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